Clark, Sara C

Clark, Sara C is an individual health care provider with primary practice located at 2519 E 10Th St Ste A , Anderson IN 46012-4464. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Clark, Sara C can be contacted via phone (317) 527-5437.

Contact Information

Primary practice address
2519 E 10Th St Ste A Anderson IN 46012-4464
Phone: (317) 527-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-39559 Indiana

Profile Details

NPI number 1144691270
LBN Legal business name Clark, Sara C
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2015
Last updated Mar 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144691270 NPPES
Indiana MEDICAID 300036367

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